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Diabetic peripheral neuropathy in people with type 2 diabetes: too little too late
Author(s) -
Javed S.,
Hayat T.,
Me L.,
Alam U.,
Malik R. A.
Publication year - 2020
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.14194
Subject(s) - medicine , peripheral neuropathy , diabetes mellitus , type 2 diabetes , etiology , disease , obesity , diabetic neuropathy , peripheral , risk factor , type 2 diabetes mellitus , intensive care medicine , surgery , endocrinology
Diabetic peripheral neuropathy in people with type 2 diabetes is poorly managed because of its insidious onset, delayed diagnosis and more complex aetiology resulting from the contribution of not only hyperglycaemia, but also ageing, hyperlipidaemia, hypertension and obesity. Because there is no US Food and Drug Adminstration‐approved disease‐modifying therapy for diabetic peripheral neuropathy, the key to ameliorating it in type 2 diabetes has to be through earlier diagnosis and timely multi‐factorial risk factor reduction. The management of painful diabetic peripheral neuropathy also requires a detailed appraisal of the choice of therapy, taking into account efficacy, patient wishes, comorbidities, side effect profile and potential for abuse.